| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,041.14 | $2,041.14 | $2,199.86 | |
Cigna
| Professional | $1,789.74 | $2,323.31 | $2,851.79 | |
United
| Professional | $1,839.10 | $2,137.71 | $4,768.64 |